Evaluation Form for a financial seminar

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Ce client a reçu 41 designs de carte de la part de 4 designers. Il a choisi ce design de carte de Sandaruwan comme design gagnant.
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Hi, I am a financial advisor and we do financial seminar for different groups of people such as students, professionals, Sr. Citizens etc. At the end of the seminar, I hand them an evaluation form to fill out. The goal of the evaluation form is to get their contact details, ask if they are interested in a complimentary consultation with me and my team, get feedback on the seminar etc.
We would like to create a nice card size evaluation form that we can hand out that is well designed, branded uniquely and leaves a good impression.
I am attaching an example of current form that we had created a long time back and hand drawn illustration of what we would like on the card form. The illustration is just to provide some direction on the content that we would like to see. Please feel free to do design without constraints.
Here is the website of our firm to get a sense of what we do.
http://www.furstnergroup.com/
Thanks
Secteur / Type d'entité
Financial Planning
Couleurs
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Aspect
Chaque curseur illustre les caractéristiques de la marque client et le style que doit transmettre votre design de logo.
Élégant
Audacieux
Léger
Sérieux
Traditionnel
Moderne
Sympathique
Professionnelle
Féminin
Masculin
Coloré
Conservateur
Économique
Haut de gamme
Exigences
Doit avoir
- The primary goal of the evaluation form is to capture contact details and get the prospective client to agree to a complimentary consultation. So those area and fields of the form should be very clear. The secondary goal is to get feedback for the seminar and get referrals from the prospective client.